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HomeMy WebLinkAbout28893-Z FORM NO. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-29852 Date: 11/19/03 THIS CERTIFIES that the building ACCESSORY Location of Property: 8755 NEW SUFFOLK RD NEW SUFFOLK (HOUSE NO. ) (STREET) (HAMLET) County Tax Map No. 473889 Section 117 Block 10 Lot 14 .1 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated OCTOBER 20, 2002 pursuant to which Building Permit No. 28893-Z dated NOVEMBER 7, 2002 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is NON-HABITABLE UNHEATED ACCESSORY GARAGE WITH UNFINISHED ATTIC AS APPLIED FOR. The certificate is issued to WILLIAM C & DONNA GOGGINS (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL N/A ELECTRICAL CERTIFICATE NO. 1132550 10/02/03 PLUMBERS CERTIFICATION DATED N/A h ized Signature Rev. 1/81 FORM NO. 3 TOWN OF SOUTHOLD BUILDING DEPARTMENT Town Hall Southold, N.Y. BUILDING PERMIT (THIS PERMIT MUST BE KEPT ON THE PREMISES UNTIL FULL COMPLETION OF THE WORK AUTHORIZED) PERMIT NO. 28893 Z Date NOVEMBER 7, 2002 Permission is hereby granted to: WILLIAM C GOGGINS MATTITUCK,NY 11952 for CONSTRUCTION OF AN ACCESSORY GARAGE WITH HEAT AS APPLIED FOR at premises located at 8755 NEW SUFFOLK RD NEW SUFFOLK County Tax Map No. 473889 Section 117 Block 0010 Lot No. 014 . 001 pursuant to application dated OCTOBER 20 , 2002 and approved by the Building Inspector to expire on MAY 7 , 20,04 . Fee $ 711 . 30 / orized Signature COPY Rev. 5/8/02 Form No.6 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL 765-1802 f 3 . APPLICATION FOR CERTIFICATE OF OCCUPANCY This application must be filled in by typewriter or ink and submitted to the Building Department with the followitig: A. For new building or new use: 1. Final survey of property with accurate location of all buildings,property lines, streets, and unusual natural or topographic features. 2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form). 3. Approval of electrical installation from Board of Fire Underwriters. 4. Sworn statement from plumber certifying that the solder used in system contains less than 2,10 of 19S lead. 5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate of Code Compliance from architect or engineer responsible for the building. 6. Submit Planning Board Approval of completed site plan requirements. B. For existing buildings (prior to April 9, 1957) non-conforuting uses, or buildings and "pre-existing" land uses: L Accurate survey of property showing all property lines, streets, building and .mnusual natural or topographic features. 2 .-\ proper l� couytleted application and a�n;ent to inspect ii_ncJ h_; the �ipphcant [f a CCitillc;ue of Occupauc} is denied, the Builditrt htpector slmll ;t:u� the rr.ra�u; thcrelor in «nhn_ [z, tl�e ahhlicant. C. Fees 1 Cernficatz ofOceupaucy - New d�.elling $3� i1u, additions to dmmclling $3i.!ili, altzrations u; dwelling $25 Oil, Swimming pool $=;.On, Acces,,w, buildmL, $_i.Otl, Addi[ion, to acCCSSor building S=> 00, I3usinessCS $50.00. 2. Certificate of OCCuI?ancy on Pre-existitra Bui[Lline - $100.uo 3 Cnpy of Certificate of Occupancy - S.25 d. f liul: 1cd Ccrullc.uc of( )Crup.utc,: S50.iln 5 Tcmpoi.u% eititi�xl -frixup,uwc, - Dcsidcwi,d l� ))n. C',muncicial $1 tlii Datr. _ lovema ev -- New Construction: G-4(45;, Old�oi Pre-existing 13vildirr': _ (check onel Location of Property: I 6 J C Ck5oh S-Iyej /Vlkl St/ Fro k House No.. Street , Hamlet Owner or Owners of Properly: M ilia I �. � (!Lj ait/ DW4&4,L YVl_ Ga�cLl ✓► S -- Suffolk County Tax MapNo1000, Section //7 00 Block dd Lot Subdivision Filed Nlap. !- f Lt o Permit No. Z�g q 3 Date of Permit. Applicant: W11 I tQtx Health Dept. Approval: J f� Underwriters Approval: Obboy ',tl Yvv 3 Planning Board Approval: OMC Request for: Temporary Certificate Final Certificate: T (check one) Fee Submitted: 0 o �- ��bt l3 pplicantSignatu D rJ�cPrJ�rJ�rlrJrJ�rJ@PrJ�cPrJ�cncnrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ@PrJ�rJ�r�rJr>nrJ�rJ�rJ�rJ�rJ�cnr.ncncnrJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�rJ�cPrJ�rJr�rJrJ@nrJ�r�r.Pr1rJ�rJ�rnrJ�r.P 0 5 BY THIS CERTIFICATE OF COMPLIANCE THE 5 S NEW YORK BOARD OF FIRE UNDERWRITERS S 5 BUREAU OF ELECTRICITY S 5 40 FULTON STREET — NEW YORK, NY 10038 5 CERTIFIES THAT Upon the application of upon premises owned by JAMES e5MURRAY P.O. BOX 305 WILLIAM 780 JACKSON STREET e5 LAUREL, NY 11948, NEW SUFFOLK, NY 11956 Located at 1780 JACKSON STREET NEW SUFFOLK, NY 11956 55 [7 Application Number: 1132550 Certificate Number: 1132550 5 Section: 117 Block: 1 Lot: 14.1 Building Permit:28893 Z BDC: NS11 e 5 Described as a Residential occupancy, wherein the premises electrical system consisting of 5 5 electrical devices and wiring, described below, located in/on the premises at: C5 5 First Floor, Second Floor,Detached Garage,Outside, 5 5 was inspected in accordance with the National Electrical Code and the detail of the installation, as set forth below, was 5 5 found to be in compliance therewith on the 2nd Day of October,2003. 5� 5 Name 4TY Rate Rating Circuit Type 7 Wiring and Devices 5 Receptacle 39 0 General Purpose 5 �5J Switch 15 0 General Purpose 5 5 Fixture 29 0 Incandescent Receptacle 5 0 GFCI 5 Service 5 I Phase 3W Service Rating 200 Amperes SService Disconnect: 1 200 cb S Meters: l 5 5 5 5 5 5 seal 5 5 1 of I 5 This certificate may not be altered in any way and is validated only by the presence of a raised seal at the location indicated. S S O rJ�rJ�rSrSrSr�cP� rE1111�1111�rEP �22P��rJ����P�J�rJ���r1rJ�rJrJa�JJ��JJ�rJ�!I J11J��� SMJr111 � o oa _ \_ o _ TA N OF SOUTHOLD PROPERTY RECORD CARD M - OWNER STREET" VILLAGE DIST. SUB. LOT I Cam 4 lcnre5 W q-1 vpw � id /K /J" C�PrcI ,'6Ld FORMER ER N E qC k &I E CZ Goa J&/e � wf {/plrg --W*. S j W I'TYPE OF BUILDING (� 1. -eC0 n , c, /J4y/ 1' I ftA U f, rV06� �rd. .r J7`v4— RES. ZZ-1-6- SEAS. VL. FARM COMM. CB. MISC. Mkt. Value ✓�` 2ch3 LAND IMP. TOTAL DATE REMARKS .rb �d �� Z 6� rfd 0i x 5 5 "C i 3i' l'L lla! LAS /15c 61 4. 4 M4j1e r A -�3Qsow �� O 1 ' 13ill) Z 40 1 !7 I—L! ( 0C.(ei Ez> (-p r-)S V,,* - AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 Tillable 2 Fillable 3 Noodland swampland FRONTAGE ON WATER 3rushland FRONTAGE ON ROAD louse Plot DEPTH BULKHEAD ! r •a�. �J �✓ * � ,re e Ji o fi e.- f 1-a� 7 a 6 rye. 'otaI DOCK STANLEY J. ISAKSEN, JR. PROFESSIONAL LAND SURVEYOR P.O. Box 244 Topographic 'Title Telephone & Fax New Suffolk, N.Y. 11956 Surveys Surveys 631-734-5835 6 November 2002 Mr. Michael Verity Town of Southold Building Dept. P.O. Box 1179 53095 Main Road Southold, N.Y. 11971 RE: Mr. William C. Goggins Cor. of 5h St & Jackson Street New Suffolk, N.Y. 11956 TM 1000-117-10-13 Dear Mr. Verity; Please be advised that the proposed garage located on the easterly side of the above referenced property, being 30' X 70' in dimension, will in fact be above elevation 10 1929 NGVD at all points. Verytr ly yours, CC: file tanley1JZn,Jr. 02R1187 Licensed Land Surveyor AMERICAN CONGRESS NEW YORK s'rA I'E ASSOC. NASSAU-SUFFOLK ON OF CIVIL ENGINEERS,INC SURVEYING AND MAPPING PROFESSIONAL LAM)SURVEYORS,INC. STANLEY J. ISAKSEN, JR. PROFESSIONAL LAND SURVEYOR P.O. Box 294 Topographic Title Telephone & Fax New Suffolk, N.Y. 11956 Surveys Surveys 631-734-5835 6 November 2002 Mr. Michael Verity Town of Southold Building Dept. P.O. Box 1179 53095 Main Road _ Southold,N.Y. 11971 RE: Mr. William C. Goggins Cor. of 5a' St&Jackson Street New Suffolk, N.Y. 11956 TM 1000-117-10-13 Dear Mr. Verity; Please be advised that the proposed garage located on the easterly side of the above referenced property,being 30' X 70' in dimension, will in fact be above elevation 10 1929 NGVD at all points. Very t ly yours, CC: file tanley J. aksen, Jr. 02R1187 Licensed Land Surveyor AMERICAN CONORCSS NEW YORK S"[A 11;ASSOC NASSAU-SUITULK ON OP CIVIL I;N(;INRhRS,INC ST RVFYING AM)MAPPING PROFESSIONAL LANI)SURVEYORS,INC. -ZLo, _ _ o _ T NOF SOUTHOLD PROPERTY RECORD CARD n, - OWNER STREET ; VILLAGE DIST. SUB. LOT `PW 4' / G !:"; ✓eTCIr � Nl FORMER ER N E U ala fZ. . a � ( G0Odd /e � wJ, I , r9 A W STYPEOF BUILDING �) I_2Co A r RES. SEAS. _ VL FARM COMM. CB. MISC. Mkt. Value LAND IMP. TOTAL DATE REMARKS j-, /off 6f d c V! O G Y o ° r v //3//9/-,L //,2 r 4) l�Tra +J s �•r� D �� 3 2- 1/0/14 �i7—LIP'S ' 3 - '' (lh?Y_ -Wk tO Go 0-10 9 �Yyi n Iv11-,-,Ifj0Z - Ctv41nx 2 AGE BUILDING CONDITION NEW NORMAL BELOW ABOVE FARM Acre Value Per Value Acre Tillable 1 - Tillable 2 Tillable 3 Noodland swampland FRONTAGE ON WATER �S 3rushland FRONTAGE ON ROAD louse Plot DEPTH BULKHEAD 'otal DOCK M-1802 BUILDING DEPT. INSPECTION [ OUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE A CHIMNEY REMARKS: [Q� ' DATE G INSPECTOR �^'S 765.1802 BUILDING DEPT. INSPECTION [ ] FOUN ATION IST [ ] ROUGH PLBG. [ ] F NDATION 2ND [ ] INSULATION [ FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARK DATE INSPECTOR l lav • �Gffl� ��i'7� s-�� M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] RO H PLBG. [ ] FOUNDATION 2ND [ INSULATION [ ] FRAMING [ ] FINAL [ ] FIREPLACE & CHIMNEY REMARKS: y , DATE ( M6 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INS TION [ ] FRAMING [ FINAL [ ] FIREPLACE & CHIMNEY REMARKS: nn ��C�f DATE 3 INSPECTOR M-1802 BUILDING DEPT. INSPECTION [ ] FOUNDATION IST [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ;7,S�TION FRAMING [ NAL [ ] FIREPLACE A CHIMNEY REMA S: DATE d a O3 INSPECTOR Permit Number REScheck Compliance Certificate Checked By/Date New York State Energy Conservation Construction Code REScheckSoftware Version 3.5 Release I Data filename Untitled.rck TITLE: Goggins Garage COUNTY: Suffolk STATE: New York HDD 5750 CONSTRUCTION TYPE: Detached 1 or 2 Family HEATING TYPE Non-Electric DATE: 06/09/03 DATE OF PLANS October 30, 2002 PROJECT INFORMATION Second Floor COMPANY INFORMATION Donald G. Feiler- Architect COMPLIANCE. Passes Maximum UA=257 Your Home UA = 243 5.40u Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value R-Value U-Factor UA Ceiling I Flat Ceiling or Scissor Truss 978 30.0 0.0 34 Ceiling 2: Cathedral Ceiling(no attic) 560 21.0 0.0 27 Wall I Wood Frame, 16" o.c. 1306 21.0 0.0 64 Window I: Wood Frame:Double Pane with Low-E 190 0.320 61 Floor L .All-Wood Joist/Truss:Over Outside Air 1734 30.0 0.0 57 Furnace I: Forced Hot Air, 78 AFUE COMPLIANCE STATEMENT: The proposed building represented in this document is consistent with the building plans, specifications, and other calculations submitted with this permit application. The proposed systems have been designed to meet the New York State Energy Conservation Construction Code requirements. When a Registered Design Professional has stamped and signed this page, the are attesting that to the best of his/her knowledge, belief, and professional judgment, such plans or specifications are t co liance withthis Co e. 2 Builder/Designer Date (' / 'T 0-/ �2 W p O % ` 3° a-; �I i PSSFeL SII - I I 0 J t5o �lj Ar t s=j=c � S�P" ?`�F)='k• sµ1P_� I.-l}'u�n�LC. � 3 /tX�Y2. .--�—`._-_ 6P I R�PGhSC_.K• :�N 'M� `4 1(0 X8 '• {� FmT,N6 �� � •� 12 a �j � o i � '/'• CoW `J � � 'I -7 Ilz 1'2 144 i --ALUM .I - I Fi I , I I - I � I _ sir, ;� -- ,•� _ • 4 SIF-��'iC r0 L112� C \ J• 06/1t/2003 13:26 16312985531 KOLB MECHAPIICAL PAGE 02 Page No I of , Payr — VtOpaaal Kolb Mechanical Corp. Henthp and Air Concouf nlnst 11500 Sound Ave,P.O.Box 106 Maalruck.NY 11952 (631)298-W271 Fax(631)298-5534 Tj tatnog�Dgtns ' 298-4200 °'rune 16,2003 Vftox 65 '?°l'rJackson Street `f3'a4YQ tW 11952 'new fl olk yye terebY nbnt OpePllrlbre arr0 wewr Nr: Furnish and install hydro air heating system to consist of the following: First Floor (2)Modine heaters model#HS47,with fan coils. Second Floor (2)Magic Ave,model#DUX030,2.5 ton air handler with Magic Aire hot water coil to be installed at residence basement. (I)Weil McLain,natural gas fired direct vent boiler,model#CGI-7 to be installed in residence utility room. Domestic Hot Water Heater:(I)Super Stor Ultra,model#SS60,60 gallon hot water storage tank heater. Includes all necessary piping,valving,circulator,controls,and control wiring. Includes: (2)White Rodgers Digital Programmable Thermostat All necessary electric wiring for units. Hart&Cooley Quality grilles. All materials,labor,installation and start-up. One year warranty on defects in materials and workmanship. All factory warranties honored. Total Investment:$19,500.00 Upon paeptenr,pear dela,aign by the'x'Md nam yellow ropy win your deposit KOLB MECHANICAL HEATING&AIR CONDITIONING In the avant this account Is forwarded to counrl for collection aro r uroherr shell be liable for all lusaw able foes of Kolb Memanical Corp.whim are sa%of the first atoo.w and 99-1,3%thereafter. It is the reeperlbipb at fire Homeowner to have qualified SOMw Mechanics maintain hearg and air oundiuoning iigwpment as required by man. ufaemrer m oder b prerrve wamnller Al swWrwnt shat amain property of Kolb liecher ical Corp until fully paid AN past dui socounts vital be merged inbePrt of 2%per month. Al paymente Due Upon RBcelpl. =0:It&pa06 hereby to furnish material and labor—,:anpats in accordance oath Move specifications,for the hum of. Nine ell Thnnaand Five Hundred and it/1 DU dollerarsu 500.00 Earfu l to be made as follows: t 0%De22sit,30%Equipment Delivery.30%Ducting Complete and IO%Start-Up. N n-- Is iaad bberepm NseAmbe renpNaenarMMle mann mmaga rreNPredaea ArryaeaM areetebn flare enreawamom lmafiap care NlfilodZed H1 ralaMtewvW MPelen'MIlimtlei w4Mbmne amore maleovrlm eowe Ne sig"Mi alaral! review Ma tadegnrypnabwY,blraaaYq Ltl,W W mIOLL`Xha b Oar M Meal all care m6nay lm re dv wear N rvh m by walnadii Note:This Pro a gmpsretsnl. ws byueenWasdaida, to days '*V1 OW DI VMII00D1 — The above pion,epsonoations aM cone tbu are salahabn and w hereby accepted You are adrorlbed ro rte tlr rrdkrepxYkd Pat^wawlbemaderoubredaboa D9NolAmepance X signature ub. ILi ZoU2 13:26 1631 d9B5S 34 kULB PECHn1UL k' '-F 111 Page No I of 1 Pope '�ropoaa[ Kolb Mechanical Corp. Heating and Air Ca ddltlonln0 11500 Sound Ave,P.O. Box 106 Maalruck,NY 11952 (63 p 298-55271 Fax(631)296-5534 t tamaboggtns p 296-4200 Me 16,2003 nox 65 T!ff5ackson Street "RiMt4ff 11952 'RfW§UWolk w.nereoY erdra eprllaeuro ua saerwss mr: Furnish and install hydro air heating system to consist of the following: First Floor (2)Modine heaters model#HS47,with fan coils. Second Floor (2)Magic Aire,model#DUX030,2.5 tun air handler with Magic Aire hot water coil to be installed at residence basement. (1)Weil McLain,natural gas fired direct vent boiler,model#CGI-7 to be installed in residence utility room. Domestic Hot Water Heater:(1)Super Stor Ultra,model#SS60,60 gallon hot water storage tank heater. Includes all necessary piping,valving,circulator,controls,and control wiring. Includes: (2)White Rodgers Digital Programmable Thermostat All necessary electric wiring for units. Hart&Cooley Quality grilles. All materials,labor,installation and start-up. One year warranty on defects in materials and workmanship. All factory warranties honored. Total Investment:$19,500.00 Upon aCgeplamcf.penes dots,sign by#is x and boom yellow copy Wath your deposit KOLB MECHANICAL HEATING&AIR CONDITIONING In the event thus account le forwarded to Counsel for CoINChon are purchaser shall be Keble for all reuonable lees of Kolb Mechanical Corp.which ab snc of the fiM atde.00 and 33-19%thereafter. It is the responalbaity of the Homeowner to have qualified SaMce Mechanics maintain hung and air conditioning equipment as required by mom utacturer m order to preserve wahan4ea M equlpment shall remain properly of Kolb Metlbnlcal Corp.until htty paid M put due amounts Ohne be charged Inbreal of 2%per month. AN payments Due Upon Receipt 41111 VOPIILE hereby to fumleh material and labor-complete In mcordann wren above specifications,for the sum of Nin tress Thousand Fiv M urut and and ba/I DO dollars IS 12500.00 I Pswnenl to be mad as fnlimiss 0%Devosit.30%Eatw2mcut Delivery.30e/ Ducting Complete wil 10%Start-up. M inHVY apreened Is be as We a 11IM010111400,10 haaatbenealoans mvvapbttreed t»elYea sryaewwb Mbka lbeaLN 1peartllMllaaNyg ase Authodmd rete et eaasoblaH/uponaabn ado.sal wit aom dusleo�atswead alaveyis SigneNre ��Myarlre,b maHaaa rpaa MMI.epNrnbbdey eaybtlaumart Oxnarb rery sit atlYa eN Cee rMetlaY aaenioa 0a walaa M Mw'w ey waubns Noe This,.,G1 pe copensatedwem M by ueemtao tlMhh re one M"111 11M 0(JOWP09W — rha above Ixaee ii dacuons end oatdUuna w"Iokdwy ase ere hereby wb pwd.You are outlwneetl b do the wait se spolba PaNneataft be madem outlined above. D3Y ofAm is XSignature D6;15;7UU3 13t Jn teal__>5U553A 1010 fIEUI:111f.L Pu,3E r71 Pop*Nn 1 cl 1 Paque Vowel Kolb Mechanical Corp. Heating and Air Candlteoning 11500 Sound Ave, P.O.Box 106 Ma#lfuck,NY 11%2 (631)298-5527/Fax(631)296-5534 fam'�.,oggfns Tn'298-4200 "Kne 16,2003 'Box 65 '7095ackson Street `fi�'aM" 11952 ''WtMolk We M,eby sit"ep*etbasma*neem kr: Furnish and install hydro air heating system to consist of the following: First Floor (2)Modine heaters model#HS47,with fan coils. Second Floor (2)Magic Aire,model#DUX030,2.5 ton air handler with Magic Aire hot water coil to be installed at residence basement. (1)Weil McLain,natural gas fired direct vent boiler,model#CGI-7 to be installed in residence utility room. Domestic Hot Water Heater:(1)Super Stor Ultra,model#SS60,60 gallon hot water storage tank healer. Includes all necessary piping,valving,circulator,controls,and control wiring. Includes: (2)White Rodgers Digital Programmable Thermostat All necessary electric wiring for units. Hart&Cooley Quality grilles. All materials,labor,installation and start-up. One year warranty on defects in materials and workmanship. All factory warranties honored. Total Investment:$19,500.00 Upon acceptance,please dale,sign by the OX'end return yellow retry with your dePOnt KOLB MECHANICAL HEATING 6 AIR CONDITIONING In the event this accountis formatted to counsel for collecaon the purchaser shell ha liable for ell reasonable loos of Kolb Medlanical Core which ere Ela%ol the enl=lab W and$3-19%thereafter. It is the maporrlbiliy of it*Homeowner to have qualified SaMw hiechanme maintsin healing and br Wr,dmonmg equlpmenl as requl,ea by mem ulecturer m rmeer lop miarve srerrenlies. At equipment*hall remain property of Kolb Mechanical Cory until July pard AD past due amounts shall be charged interest of 2%par month. At payments Ow Upon Receipt Ne 110111i hamby In furnish material and labor-complete rn accordance.lith above specifications,for the sum of. Nineteen lltnreaand Five Hordvid and cz/100 dollars IE 19-5()0.00 Payment to be made as lotoive: 0%De 0%EcigigaiwitDeliv 30%Du t'n om lele 10%Start-U . N naYL agisarwd aWarpe. Nwoebbo.ow newonarwsa maven rmNebeeMae Pdirea AlryaawwadNYhn hamaide rpeeanmmlwxNlry area Authorized ueaMbesveeeeayupnxa�,adse.edMEemnemm�page ouered emro lad Signature .b.r M ep*erena Mllp,l,pwl MPfer.safmb pddeH IgyrxN oft mamt owwe reny h b and as mmay Irevaee oft wsy*e ae W,vanv b/wtdamn, Nene rhla pro be Cq,peaekalreuaC* wh bytorlml• dwAhln If yys 21ttq gllMe Of VWOOlat — The above pncea eperlecaeene mW em-fill am sablecbry and aro harebyawpted you we eWaruae to do it*vdk u spedeea PaM nt wll be made as outleud above. IMbolAmepunce X Slgneure 14 1 D1 1 . a)14 a FOUNDATION(IST) I'D �► FOUNDATION(2ND) ROUGH FRAMING& PLUMBING INSULATION PER N.Y. STATE ENERGY CODE i ADDITIONAL •/ =/ r i 4 AUG 10 '95 07:55 P.2i4 I I : i FORM NO, 1 TOWN OF SOUTHOLD BUILDING DEPARTMENT TOWN HALL SOUTHOLD, N.Y. 11971 TEL,; 765.1802 71 ��r/� 7�2. . . . . . . . . . . . • . Examined • . . . . t9� Racaivad • Approved . . . . ,i�d . .Permit Noae.OT 31•` Disapproved a/c . . . . . . . . . . . .l�.l.�i � . . . . . . . . . . . . . . . . . (Building Inspector) APPLICATION FOR BUILDING PERMIT F Date .October• 30�, 200 —'— - t INSTRUCTIONS s. This application must be completely filled in by typewriter or in Ink and submitted to the Building Inspector,with 3 sets of plans,accurate plot plan to scale. Fee according to schedule, b. Plot plan showing location of lot and of buildings on premises, relationship to adjoining premises or public streets or areas, and giving a detailed description of layout of property must be drawn on the diagram which is part of-this appli- cation. c.- The work covered by this application may not be commenced before issuance of Building Permit. d. Upon approval of this application,the Building Inspector will issued a Building Permit to the applicant. Such permit shall be kept on the premises available for inspection throughout the work. e. No building shall be occupied or used in whole or in part for any purpose whatever until iCertificate of Occupancy shall have been granted by the Building Inspector. APPLICATION IS HEREBY MADE to the Building Department for the issuance of a Building Permit pursuant to the Building Zone Ordinance of the Town of Southold, Suffolk County, New York, and other applicable Laws,Ordinances or Regulations, for the construction of buildings, additions or alterations, or f r removal or d olition, as herein described. The applicant agrees to comply with all applicable laws,ordinances, build code, housin e, anJ regulations, and to admit authorized inspectors on premises and in building for necessary in i ns. {///',rI • • • � . • . . . . . • . • . . • . • (Signature of applicant, me, if a oorporatipn) ,Q,. .13Qx. A5 ,. Matti-tuck, -New ,Youl£.11.352 (Mailing address of applicant) State whether applicant is owner, lessee, agent, architect, engineer, general contractor, electrician, plumber dr.builder. OWNER. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . • • . . . , . . . . . . . . . . . . . . . . . . . . • . • . . . . . . . . . . . . . . . . . . . . . . . . Name of owner of premises.. WILLIAM C. GOGGINS and DQVNA Al,, ,QQG�ATS. . . . . . . . . . . . . . . . . (as on the tax roll or latest Gleed) If applicant is a corporation,signature of duly authorized officer. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Name and title of corporate officer) HI-19597; Fred Milner Construction, Inc. Builder's License No. . . . . . . . . . . . . . . . . . . . . . . . . . Plumber's License NO., . . . . . . . . . . . . . . . . . . . . • . . . Electrician's License No. . . . . . . . . . . . . . . . . . . . . . . Other Trade's License No. . . . . . . . . . . . . . . . . . . . . . 1. Location of lend on which proposed work will be done. . . . . . . . . . . . . . . . . . . . . . . . . • . . . . . . . . . . . . . . . . . . . . . . . . 1780 JacksonStreet . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . New Suffolk . . . . . . . . . . . . . . . . . . . . . . . . . House Number Street Hamlet 14 County Tax Map No. 1000 Section . . . . . Block . . . . . . . 00 0 0 10 . . 0 Lots 13 and . . . . . . , . . Subdivision . . . . . . . . . . . . . . . . . . . . . . . . . . . . ... . . . . . . . Filed Map No. . . . . . . . . . . . . . . Lot . . . . . . . . . . . . . . . (Namc) 2. State existing use and occupancy of premises and intended use and occupancy of proposed construction: a, Existing use and occupancy . . Two (2) Family Dwelling . . . . . . . . . . . . . . . . . . . . . . . . . . . Detached Garage b. Intended use afid occupancy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 '95. 07 55 - P.3/4 .e of work•(check which applicable): New Building . . . X.. . . . . Addition . . . . . . . . . . Alteration . , . . . . . . . . ,pair . . . . . . . . . . . . . . Removal . . . . . . . . . . . . . . Demolition . , . . . . . . . . . Other Work. . . . . . . . . . . . . . . (Description) Estimated Cost. . . . .$la 0 00...0 0. . . . . . . . . . . . . . . . . . . . . Fee . . . . . . . . . . . . . .. . . . . . . . . . . . . ` (to'be.paid'on fi itig this application) 5. If dwelling,number of dwelling units . . . . . . . . . . . . . . . Number of dwelling uirits on each floor. . . . . . . , , , . . , . . . Ifgarage,number of cars . . .Four. (A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . I . . . . . . . , . . . . , . . 6. If business, commercial or mixed occupancy,specify nature and extent of each type of use . . . . . . . . . . . . . . . . . . . . 7. Dimensions of existing structures,if any: Front . . . . . . . . . . . . . . . Rear . . . . . . . . . . . . . . Depth . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . Num bor of Stories . . . . , . . . . . . . . . . . . . . . . Dimensions of same structure with alterations or additions: Front . . . . . . . . . . . . . . . . . Rear . . . . . . . . . . . , , . . . . . Depth I . . . . . . . . . . . . . . . . . . . . . Height . . . . . . . . . . . . . . . . . . . . . . Numbgr of Stories . . . . . . . . . . B. Dimensions of entire new construction: Front . .7?. . . . . . . . . Rear . . 74. . . . . . . . . . Depth . , ,30 . . . . . . . . . . Height. . . . . . ... . . .. .Number of Stories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Size.of lot: Front.. . . . . . . Rear . . . . . . . . . . . . . . . . . . . . . . Depth . . . . . . . . . , . . 10. Date of Purchase . .Qcl dber. .18 .. ,2001. . . . . . . . Name of Normer Owner RicbAzd. iQQoda,,q. . . . . . . . . . 11. Zone or use district in which premises are situated . . . .13-9,Q . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12. Does proposed construction violate any zoning law,ordinance or regulation: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13, Will lot be regraded .N9. . . . . . . . . . . . . . . . . . . . . . . . .Will excess fill be removed from premises: Yes No 14. Name of Owner of premises , . 4?illiam. Gogginddress . . . . . . . . . . . . .Phone N0. 298-4200 Name of Architect ,Donald G. Feiler Address Phone No. 298:5453 f'. . . . a-ner . . . . . . . . . . . . . . . . . . . . ?9'$ :8$: Name of Contractor . 21:: : :: . . . . . . . . . . . . . . . . . . . . . Address . . . . . . . . . . . . . . . . . . .Phone No t5. Is this property located within3.00 feet of a tidal wetland? * Yes . .. . . No .. .. . * If yes, Southold Town Trustees Permit me be required. PLOT'DIAGRAM Locate clearly and distinctly all buildings, whether existing or proposed, and.indicate all set-back dimensions from property lines. Give street and block number or description according to deed, and show street names and indicate whether interior or corner lot. See; attached building plans of Donald G. Feiler See ; attached 'survey of Stanley Issacson STATE OF NEW uOffolk S.S COUNTY OF . . . . . . . . . . . . . . . . . William.C... Goggin s being duly sworn,deposes and says that he is the applicant (Name of individual signing contract) above named'. Heisthe . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . (Contractor,agent,corporate officer,etc.) of said owner or owners, and is duly authorized to perform. or have performed the said work and to make and fila this application; that all statements contained in this application aro true to the best of his knowledge and belief;and'that the work will bo performed in the manner set forth in the application filed therewith. Sworn to before me.this 30th , October , 2002 . . . . , , . . . . .day oL,; . . . . . . . . . . . (C�^vl Notary Public, • , DONt4Tck4fP�+E(d�` - . . . . ,Qounty Notan(Putlic,State of New Yak . . . . . . Nc.�`IPA6fJfi9978 h 7. /1 (lualifiodlnSuffolk mbe�9 CUm(I1S- n Signature of applicant) BUILDING PERMIT EXAMINER CHECK LIST DATE REVIEWED: APPLICANT: DATE SUBMITTED:_/-Zp /,2 SCTM#DISTRICT: 1,000, SECTION: I{ , BLOCK: IU , /LOT: 114.1 STREET ADDRESS:P?55 kla� x vytic 23. CITY: Vew SUBDIVISION: l PROJECT DESCRIPTION: Goq_oc--r ESTIMATED PROJECT COST: ARC /ENGINEER:Tr,c e- FAST TRACK? W SINGLE& SEPARATE CERTIFICATION-REQUIRED? o NOTES: LATS 40,000SF-100-24.Lot recognition.(CREATED before June 30, 1983),UNDERSIZED LOTS FROM JAN.1997 100-25.Merger.(A nonconforming at any time after ZONING DISTRICT: ly-�/p CONFORMING? y REQ. LOT SIZE: v vvo ACT. LOT SIZE: 201' REQ. LOT COV. ACT. LOT COV. REQ. FRONT 2 ion PROP. FRONT ✓ REQ SIDE io',d ACT. SIDE ✓ REQ. REAR �„ PROP. REAR ✓ REQ. IfEIGHT PROP. HEIGHT WATER FRONT? V5 DESCRIPTION: P6 C0,0kji c Bf�y PANEL #: 50/ FLOOD ZONE: X , — - APPROVALS REQUIRED SUFFOLK COUNTY HEALTH DEPT: YES or�BED#): DTE:_/_/_ PERMIT#:R10- TOWN SEPTIC RECEIPT: Y oLE) NEW YORK STATE DEC: PRE-DEC 9/1/75 wor NO P� ov e_ C) �- SOUTHOLD TOWN TRUSTEES: YES or TOWN ZONING BOARD APPROVAL: YES or TOWN PLAN. BOARD APPROVAL: YES or TOWN HISTORICAL PRE (SPLIA): YES or 0 NYS ENERGY:YES OR& : EGRESS (18 H min,?4 sq total) — VENT(SQ.FT.x 4%) - LIGHT(SQ. FT. x 8%) BUILDING PERMITS OPEN/EXPIRED: BP -Z/C/0 Z- , HAVE PRE CO'S : Y OR N BP -Z/C/o Z- , NOTES: FEE STRUCTURE: FOUNDATION: SF FIRST FLOOR: CQ IA1 SF SECOND FLOOR: SF OTHER: SF INIT OTHER TOTAL TOTAL: SF FEE FEE FEE 1. ( a10SF)-( ono SF)= (6a I SFX$30 =$6342 +$ aS +$ _$ / 6 2. ( SF)-( SF)= SF X$ _$ +$ +$ _$ n , - ---------- rn v�-F t, .-gym t,ma., � 1�' x >�" Pc �-oc• � � tic� - -� I ! I,vJ _ 104 . 13' - 191 "``I L(� U i W 14 0 UNDERWRITERS CERTIFICATE X11 L REQUIRED 1J Q 7 i DO NOT PROCEED WITH OCCUPANCY OR14 J FRAMING UNTIL SURVEY USE IS UNLAWFUL — r OF FOUNDATION LOCATION WITHOUT CERTIFICATE 6 T---T6 ;G, it l.:n.lrh PTc. F OCCUPANCY rJS BEEN .LOr �+ 1 AME DAS NOTED DA I C�7 1 1 7 - 10 - 13 9 1+ --�.,z0 hl� FZ,"9-o NOTIF G DEPARTMENT A F Lt-'T 13 ?�� Gq 5 sp 765.7802 9 AM TO / PM FOR THE � IONS L-OT 1't II 10 SF 1. FOUNDATIONLLOWING -TWO' .. 9. FOUNDATION . Fw��zrnrlE M.of' # ?�lmlc3co5U1C� s� I41`�A TWO' FOR POURED CONCRETE t- ^'�-{- t- —1- r- j r -I ,9 L�o.TS TPKEt-1 VTohn ��f'-v E" Y STnN LE1� t'�K5 T1 I��I���� 2, ROUGH FRAMING S PLUMBING s �,-, __ = a INSULATION ILL— I1 �- 4. FI�AL - CONSTRUCTION MUST ALL CONSTRUCTION S MEET THE REQUIREMENTS OFBE COMPLETE FOR Q9, ALL HE aK' - - STATE CONSTRUCTION S ENERGY ` - - - - DESIGN OR CONSTRUCTION LEES. NOT RRFOpi. t, i i M /- GC�r1-i N•JE Fd,ICGE C+Jt=F% @' - -�IQ'i'= YE>•1"- z \ 1 ,2 % LiSF' � '1-iFl I(G .�io "" - % I:o' % \ ^x PP✓ Fr F - Ita ' �o yy- r 7 1' � ( ! _ _ __- 5�6" TiPc•k' SV-1 P> �P4�n A4 1 r -�._ - --- � � -C C - -- - - - - I. n I - �10 ham'.. V1�. • I , ', \ I 1 c ♦ v -� 1 ur� ,? 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